Form Title - Columbia University
QUESTION & ANSWER FACT SHEET
REGARDING RETIREE MEDICAL BENEFITS
EFFECTIVE January 1, 2015
Who should I contact if I have not received my new member ID card from the insurance carrier?
If you do not receive your card and need a temporary member ID card or need to verify your coverage,
you or your health care provider may contact the carrier directly or visit the website shown below and
print a temporary card.
Please see the contact information below for each insurance carrier:
Choice Plus (80, 90 or 100) & Indemnity Plan - Group Number 712790
Click on “Print an ID Card”
UnitedHealthcare Group Medicare Advantage (HMO)
(NY) 66013 – H3307-802
(NJ) 40512 – H3107-801
Aetna Medicare Advantage Plan (PPO) – Group Number AE431415
New York, New Jersey, Pennsylvania, California, Florida, Massachusetts, Maryland, Maine, and
Aetna Medicare Advantage Plan (ESA-PPO) – Group Number AE431336
Use this for all other locations – National
Express Scripts - (Prescription Drugs)
Columbia University Benefits Website
Benefits Service Center:
In the event you have claims for Year 2014, you should contact Cigna directly.
CIGNA Plan B
Group Number 3205616
Do my spouse and/or my eligible dependent receive separate member ID cards for the medical plan as
well as the prescription drugs (Express Scripts)?
If you are enrolled in the Choice Plus or Indemnity Plan, Express Scripts is your carrier for prescription
coverage. You will each receive one card from the medical insurance plan and one card from Express
I would like to enroll in one of the Medicare Advantage Plans, UnitedHealthcare (HMO) or Aetna
Medicare Advantage Plan (PPO or ESA). How do I enroll?
The Medicare Advantage Plan enrollment application forms can be found on the Columbia University
Benefits Website http://hr.columbia.edu/benefits or by contacting the Benefits Service Center at (212)
In order to ensure that you are correctly enrolled with either of the Medicare Advantage plans, please be
sure the carrier form is signed and dated prior to the effective date of your expected enrollment at least
30 days prior to the enrollment date. If you elect the UnitedHealthcare Medicare Advantage Plan, you
and any eligible dependent must complete and return individual UnitedHealthcare Medicare
Advantage (HMO) enrollment applications directly to the address on the forms.
I am enrolled in a Medicare Advantage Plan. What do I do if I no longer want to participate in this
When you enrolled in the Medicare Advantage Plan through Aetna or UHC, you authorized them to
contact Medicare to coordinate your benefits. You must contact the appropriate carrier directly in order
to terminate coverage and release your Traditional Medicare.
Is dental coverage provided to retirees?
If you participated in the Aetna Dental Plan as an active employee prior to retirement, you are eligible
for up to 18 months of COBRA.
In addition, the Columbia University School of Dental Medicine provides dental services to retirees and
their dependents at discounted rates through a network of faculty and alumni from the University. To
participate you must receive care from a dentist listed in the CU School of Dental Medicine provider
directory or who is part of a designated Columbia Dental facility. If you are interested in this dental
plan, visit the website at www.columbiadentalplan.com or contact them at (212) 305-0763.